Homelessness experiences, sexual orientation, and sexual risk taking among high school students in Los Angeles.
Homelessness experiences, sexual orientation, and sexual risk taking among high school students in Los Angeles.
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洛杉矶高中生的无家可归经历、性取向和性冒险行为。
DOI：
10.1016/j.jadohealth.2012.11.011
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Kordic,Timothy
中科院分区：
文献类型：
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作者：
Rice,Eric;Barman-Adhikari,Anamika;Rhoades,Harmony;Winetrobe,Hailey;Fulginiti,Anthony;Astor,Roee;Montoya,Jorge;Plant,Aaron;Kordic,Timothy
目的先前的研究报告称，无家可归的青少年比有家可归的同龄人面临更多的性风险。然而，这些比较通常是通过将无家可归青少年社区样本与高中概率样本进行比较来事后进行的。本研究使用高中生的随机样本来检查无家可归经历和性风险行为。方法对洛杉矶高中生（N = 1,839）进行了青少年风险行为调查的补充调查，其中包含有关无家可归和性健康的问题。多变量逻辑回归评估了人口统计数据、过去一年的无家可归经历（即夜间居住地点）、性活跃程度和上次性行为安全套使用情况之间的关联。 结果无家可归经历包括住在庇护所（10.4%）、公共场所（10.1%）和与陌生人在一起（5.6%）。女同性恋、男同性恋、双性恋、跨性别者、有疑问的人 (LGBTQ)、年轻的青少年和男性青少年更有可能经历无家可归的情况。 LGBTQ 青少年也更有可能报告与陌生人同住，而不太可能报告住在庇护所。与住在庇护所的青少年相比，与陌生人呆在一起和在公共场所的青少年在最后一次性行为时更有可能进行无保护的性行为。结论报告性活动和性冒险行为的青少年更有可能报告无家可归的经历。就性健康而言，与陌生人住在一起可能是一种特别危险的无家可归形式； LGBTQ 和黑人青少年更有可能经历这种形式的无家可归。减少无家可归和性冒险的努力需要认识到这些人群面临的具体脆弱性。
PURPOSEPrior studies reported homeless adolescents engage in more sexual risk than their housed peers. However, these comparisons are typically made post hoc by comparing homeless adolescent community-based samples with high school probability samples. This study uses a random sample of high school students to examine homelessness experiences and sexual risk behaviors.METHODSA supplemental survey to the Youth Risk Behavior Survey containing questions regarding homelessness and sexual health was administered to Los Angeles high school students (N = 1,839). Multivariate logistic regressions assessed the associations between demographics, past year homelessness experiences (i.e., place of nighttime residence), and being sexually active and condom use at last intercourse.RESULTSHomelessness experiences consisted of staying in a shelter (10.4%), a public place (10.1%), and with a stranger (5.6%). Lesbian, gay, bisexual, transgender, questioning (LGBTQ), younger, and male adolescents were more likely to experience homelessness. LGBTQ adolescents were also more likely to report staying with a stranger and less likely to report staying in a shelter. Compared to adolescents who stayed in shelters, adolescents who stayed with strangers and in public places were more likely to engage in unprotected sex at last intercourse.CONCLUSIONSAdolescents who report sexual activity and sexual risk taking are more likely to report homelessness experiences. With regard to sexual health, staying with strangers could be a particularly risky form of homelessness; LGBTQ and black adolescents are more likely to experience this form of homelessness. Efforts to reduce homelessness and sexual risk-taking need to recognize the specific vulnerabilities faced by these populations.